社会保障制度完善与否是一个社会公平与否的重要表现,而政府存在的最基本的责任就是保障社会公平。文章从社会公平的视阈下,阐述了当今医疗改革失败是由于我国的医疗保障制度严重地体现了社会不公平,提出了应该强化政府责任、坚持城乡统筹和加强伦理道德建设的路径来解决医疗保障问题。 Whether the social security system is perfected or not is an important manifestation of social fairness or not. The most basic responsibility for the government is to ensure social fairness. From the perspective of social fairness, the article elaborates the failure of medical reform today because China’s medical insurance system seriously embodies social injustice, and proposes that we should strengthen the government’s responsibility, adhere to the urban-rural co-ordination and strengthen the ethical and moral construction to solve the medical treatment Security issues.